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2tegt0trar cf llital tattHttca T H E F A C E O F THIS D O C U M E N T HAS A C O L O R E D BACKGROUND 1727328 COMMONWEALTH OF KENTUCKY CABINET FOR HEALTH SERVICES REGISTRAR OF VITAL STATISTICS FORM VS NO. 1-A Rev. 5/02 - N O T A WHITE qiilH CERTIFICATE OF DEATH MUST / TYPED 2. SEX 1 - DECEDENT S NAME First Middle Last FANNIE 4.
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